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1043429368
CAROLE A WALLACE
RED BANK, NJ
NPI
1043429368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NJ 019148)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
Dr. CAROLE A WALLACE D.D.S.
82 BRIDGE AVE
RED BANK, NJ 07701-1160
Phone number: 732-530-2662
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Mailing Address
Dr. CAROLE A WALLACE D.D.S.
64 WINDSOR DR
EATONTOWN, NJ 07724-2165
Phone number: 732-389-2454
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